HD*12345**DC*200211*200211*2*THIS IS AN EXAMPLE TEST dental claim file
12345**09*0012098712110*0001*0260000005000400000001049*001010101*MVX0029384B09*02*003030303*01*M*19680410*SCARBOROUGH*ME*040748389*20021004*A000141918*T010457913**1*DANIEL*R*RAVIN*DMD*DNT*SCARBOROUGH*ME*040740000*11*01*D1110***20021001*20021001*6000*5900*0*0*0*DC
12345**15*0012098712125*0001*0260000005000400000002514*002020202*MVX9837498C01*01*002020202*20*M*19630203*LISBON*ME*04252*20021004*A000141918*T010457913**1*DANIEL*R*RAVIN*DMD*DNT*SCARBOROUGH*ME*040740000*11*01*D0120***20021001*20021001*-2000*-2000*0*0*0*DC
TR*12345**DC*200211*200211*20021120